TIMOTHY JON STORER Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125035886

License Status

EXPIRED

Business

First Name

TIMOTHY JON

Last Name

STORER

Business Name

TIMOTHY JON STORER

Original Issue Date

05/09/1997

Effective Date

05/09/1997

Expiration Date

06/23/1998

City

CHICAGO

State

Zip

60637

County

COOK

Specialty/Qualifier

Internal Medicine

Ever Disciplined

LastModifiedDate

09/22/2006